CLASSIC CITY INTERNAL MEDICINE (NPI# 1942421920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942421920 |
| Entity Type | Organization |
| Organization Name | CLASSIC CITY INTERNAL MEDICINE |
| Practice Address |
385 Hawthorne Ln Ste 200 Athens GA 30606-2100 |
| Practice Telephone | 7065433130 |
| Practice Fax Number | 7065433215 |
| Mailing Telephone | 7065433130 |
| Mailing Fax Number | 7065433215 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | EMAD UDDIN AHMED (PRESIDENT) |
| Authorized Official Telephone | 7065433130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
045157 | GA | Ambulatory Health Care Facilities |
| Street Address |
385 HAWTHORNE LN STE 200 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174742621 | Kidneyclinic of Athens | Clinic/Center | 385 Hawthorne Ln Ste 200, Athens, GA 30606-2100 | 2007-04-24 |
| 1114230430 | Muhammad H Bashir | Internal Medicine | 385 Hawthorne Ln Ste 200, Athens, GA 30606-2100 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174742621 | Kidneyclinic of Athens | Clinic/Center | 385 Hawthorne Ln Ste 200, Athens, GA 30606-2100 | 2007-04-24 |
| 1952860496 | Health Wealth Safe, Inc | Clinic/Center | 2005 Prince Ave, Athens, GA 30606-6032 | 2019-03-14 |
| 1467741744 | Talladega Family Health Center LLC | Clinic/Center | 108 Sanders St, Athens, AL 35611-2459 | 2011-04-07 |
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|---|---|---|---|---|
| 1467068361 | Rc Chiropractic & Personal Injury Centers LLC | Clinic/Center | 3547 Peachtree Industrial Blvd Ste 10, Duluth, GA 30096-1419 | 2020-09-17 |
| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1679181168 | Guardian Health Group | Clinic/Center | 6296 Cheatham Lake Dr Nw, Acworth, GA 30101-7642 | 2020-07-21 |
| 1851909857 | 100 Percent Nutrition LLC | Clinic/Center | 8425 Waldrip Rd, Gainesville, GA 30506-5774 | 2020-07-16 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.